# DCH PROVIDER SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DCH Primary Care Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124711726
- **Authorized official:** DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
- **Authorized official phone:** (205) 759-6165

## Contact information

- **Practice address:** 701 UNIVERSITY BLVD E STE 211, TUSCALOOSA, AL 35401-7431
- **Practice address phone:** (205) 759-6165
- **Mailing address:** 3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
- **Mailing address phone:** (205) 759-6165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 05/30/2023